| NPI | 1922669480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022016345) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019023141) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-08-10 |